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    • Please complete this form and it will then be submitted to your building principal or administrator for initial action. This form will then be forwarded to Central Office for action. You will receive a confirmation back notifying you of the action taken.
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    • Date(s) of Leave

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    • Only enter an end date if your vacation is a consecutive range of days. Otherwise, add another single day below.
    • Fill in the field below to add additional dates/ranges
    • Only enter an end date if your vacation is a consecutive range of days. Otherwise, add another single day below.
    • Please submit another form if you request more than 3 days.
    • Only enter an end date if your vacation is a consecutive range of days.

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    Malden Public Schools

    110 Pleasant Street
    Malden, MA 02148

    Tel: (781) 397-6100
    Fax: (781) 397-7276

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